A total of 36 studies involving 3,831 patients were included. 1997;11(6):473-475. From the Durston website, the X-Mid Pro 2 is 80 x 100 and the X-Mid 2 is actually 88 x 102. Pooled results of 8 studies suggested that CYP17 rs743572 was not associated with the BPH susceptibility in the overall population (OR = 0.98, 95 % CI: 0.80 to 1.20 for A2 versus A1; OR = 0.99, 95 % CI: 0.79 to 1.25 for A1/A2 versus A1/A1; OR = 0.97, 95 % CI: 0.62 to 1.53 for A2/A2 versus A1/A1). Between March 2009 and October 2014, a total of 630 consecutive patients with BPH and moderate-to-severe LUTS refractory to medical therapy for at least 6 months or who refused any medical therapy underwent PAE. IS: 383:1970-Specifications of coarse and fine aggregates from natural sources for concrete, BIS-New Delhi. Batching Plant and Equipment for Fully Mechanised Construction: Fully mechanised construction needs the following: Uniform mixing shall be achieved in the mixers. So it is in China but nothing to do with cutting costs. The paver shall be equipped with electronic sensors to pave the slab to the required thickness, camber and alignment in the case of slip form pavers. Anjum MI, Chari R, Shetty A, et al. After 12 months, the overall prostate size reduction was 63 % (-30 mls) after TURP and 44 % (-27 mls) after PVP. These investigators reviewed the recent data available in the literature regarding the role of the first-generation (TIND) and second-generation (iTIND) devices for the management of BPH with LUTS, especially focusing on follow-up of functional outcomes. Ablation using vapor was rapid and remained confined to the transition zone, consistent with the thermodynamic principles of convective thermal energy transfer. The microbubbles oscillate back and forth, come together, and collapse in a very precise manner. Based on my experience with the original, I can see how the X-Mid could use them. iii) Reduced thickness in the structural member cuts the footing size. WebDifference Between Pre Tensioning and Post Tensioning. While causing smooth muscle relaxation in the lower urinary tract, it minimizes blood pressure-related adverse effects. iii) The materials used for the slab can be saved. To paraphrase my old Locus Gear review, it essentially says that weight geeks will like #3 but I prefer #5 for long term durability. The prefabricated slabs can be of the following types, Pre-tensioned slabsPost-tensioned slabsHollow core slabsRibbed slabs. #3 zippers can make sense when youre also using light fabrics, weight efficient design etc, but they dont make sense on an otherwise beefy tent. WebMean pre- and 3 months post-treatment PVRs were 120.6 119.1 cc and 50.6 61.6 cc, -72.0 cc, p < 0.01. The other 13 studies were non-comparative and included a total of 750 experimental subjects. UL Listed. Pre-tensioned slab,13. They have the same advantages and disadvantages. Urology. By 3 months, Clavien-Dindo grade greater than or equal to II events occurred in 19.8 % of W-I patients and 34.7 % of W-II patients (p = 0.468). The International Prostate Symptom Score/American Urological Association (IPSS/AUA) symptom score was the primary outcome; others included QOL, peak urine flow rate and adverse effects. Histopathology revealed glandular acinar changes, inflammation, and fibrosis. Aquablation is a novel, minimally invasive, water-based therapy, combining image guidance and robotics for the removal of prostatic tissue. Perhaps that could have been stated more clearly. Nonetheless, shortterm safety and efficacy up to 3 months were consistent with the 3month results reported in previous studies. The slab which is supported by beams and columns is called conventional slab. } 2015;7:13-18. J Vasc Interv Radiol. A total of 60 patients with total prostate volume (TPV) ofgreater than 60 ml with unsatisfactory response to combination medical therapy were randomly assigned to receive add-on intra-prostatic BoNT-A injection (n = 30) or continued medical therapy (control group). J Vasc Interv Radiol. Also please note these seams are both bonded and additionally taped. The basic element of a post-tensioning system is called a tendon. Demographics, peri-operative results, complications (according to Clavien-Dindo classification), functional results, and QOL were evaluated. 2019;5(6):1091-1100. Mean pre- and 3 months post-treatment PVRs were 120.6119.1cc and 50.661.6cc, -72.0cc, p<0.01. Peri- and post-operative safety aspects of treatment of adenoma volumes greater than 80 ml also need to be examined in further studies. The results showed that PAE was clinically effective, producing a median 10-point IPSS improvement from baseline at 12 months post-procedure. After six months following operation, the average IPSS improved from 22.7 5.3 to 9.1 3.2 (p < 0.001), the QoL improved from 4.9 1.7 to 2.3 1.3 (p < 0.001), the Qmax improved from 8.5 3.0 to 15.2 4.8 mL/s (p < 0.001), the PVR increased from 78.7 58.8 to 30.3 34.2 (p < 0.05), and the mean prostate volume ranged from 70.8 23.8 to 54.7 20.9 mL (p < 0.05). The regular X-Mids are also substantially improved over time with extra stake points (most noticeably the new side panel guyouts) and revisions to the cut of the fly that makes it quite a bit easier to get tight walls (e.g. i) The height of the building can be saved. The authors concluded that the vast majority of studies reporting ejaculatory dysfunction after BPH surgery used poor methodology to investigate this complication. If BPL does a full performance review it would dive more into that. Prostate artery embolization in patients with prostate volumes of 80 ml or more: A single-institution retrospective experience of 93 patients. For what its worth, the standard for minimum tent weight, perverted into trail weight by certain large retailers,excludes stakes for good reasons. Cizman Z, Isaacson A, Burke C, et al. 2019;30(5):627-637. These investigators were unable to perform any of the pre-defined secondary analyses. The median (interquartile range, IQR) IPSS was 19 (14-23) and the QoL score was 3 (3-4). When asked how this was achieved without resulting in other trade-offs in performance, Dan said The X-Mid uses a rectangular base to simplify the pitch (compared to a hexagonal tent) and combines that with two trekking poles (to improve headroom compared to a single pole pyramid). Gonadotropin-releasing hormone antagonists, intra-prostatic injections with NX-1207 and vitamin D3 receptor analogs exerted beneficial effects on LUTS but need further evaluation in clinical studies. Considering how Dan was previously very skeptical about #3 zippers (on his review of the Locus Gear Khufu), Im surprised to see them appearing now on the X-Mid Pro 2. Convective RF-WVTT may increase minor AEs assessed by the Clavien-Dindo classification system of grade I and II complications (RR 1.89, 95 % CI: 1.15 to 3.11; 197 men; low-certainty evidence). Long-term clinical results and quality of life after insertion of a self-expanding flexible endourethral prosthesis. Medicine (Baltimore). Technical success was considered when selective prostatic arterial catheterization and embolization was achieved on at least one pelvic side. Articles were identified by means of a computerized Google, PubMed and Cochrane Library search over the last 10 years (using the following keywords: benign prostate hyperplasia, enlargement and obstruction) and a search of the PharmaProjects database. Blade Tilt: 45 Left.. For sale -, Industry Standard tool-free split guard design allows a true rise-and fall riving knife by using a lever on the inside the throat plate. On September 13, 2013, the FDA approved the marketing of the UroLift, the first permanent implant to relieve low or blocked urine flow in men aged 50 and older with BPH. Kasraeian A, Alcantara M, Alcantara KM, et al. i) It improves the elevation of the building. This First Looks review is based on our initial hands-on evaluation of a pre-production sample of the Durston X-Mid Pro 2 Tent. Medical therapy aims at improving QOL and preventing complications. (Level of Evidence: C; strength of recommendation: moderate), PAE can be considered as a treatment option in patients with BPH and moderate to severe LUTS who wish to preserve erectile and/or ejaculatory function. The belt is 25 cm wide and has extra length compacted to the width of the slab. Andersson KE, de Groat WC, McVary KT, et al. These concrete slabs are preferably used in monumental buildings, museums, meditation halls, galleries, religious structures. The mean change in the IPSS was substantial averaging (at 12 months) 15.1 in W-I and 17.1 in W-II (p = 0.605). 2013;111(5):793-803. bottom: 20px; The mean maximal flow rate increased significantly from 8.87 +/- 2.18 to 17.51 +/- 4.09 ml per second (p = 0.0001). The authors concluded that the pathophysiology of male LUTS is complex and not completely understood. Post-Tensioning provides a means to overcome the natural weakness of concrete in tension and to make better use of its strength in compression. They stated that further comparative study findings, including longer follow-up, should be evaluated before PAE can be considered as a routine treatment. No significant association was observed in Caucasians. The authors concluded that Aquablation is a safe and effective option for treating LUTS secondary to BPH. The depth of the hardy bricks is usually at least 200 mm. They stated that BPH patients affected by ED can target both conditions with continuous tadalafil therapy. It requires more formwork when compared with the flat slab. Kapoor R, Liatsikos EN, Badlani G. Endoprostatic stents for management of benign prostatic hyperplasia. The definition of ejaculatory dysfunction was not standardized. In a retrospective analysis, Kasraeian et al (2020) characterized procedure variables and outcome data from men undergoing the Aquablation Therapy of the prostate procedure for lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH). That means the impact could spread far beyond the agencys payday lending rule. Guidelines from the AAUA (Foster et al, 2019) stated that "Aquablation may be offered to patients with LUTS attributed to BPH provided prostate volume greater than 30 / less than 80 g, however, patients should be informed that long-term evidence of efficacy and re-treatment rates, remains limited. The arches are provided in the bridges to resist the wind loads acting on the bridge. This was a single-center study with 55 subjects with short-term follow-up (3 months); its findings need to be validated by well-designed studies. Can J Urol. Santiago de ComPostela. A total of 8 RCTs, which involved 661 men with BPH, were included. London, UK: NICE; October 2003. Therefore, the deflected shape is cylindrical. Further, it calls for the highest level of quality control at all stages material selection, mix design, placement, compaction, joint-provision and curing. The slip form paving train shall consist of a power machine which spreads, compacts and finishes the concrete in a continuous operation. (Level of Evidence: E; strength of recommendation: strong), Interventional radiologists, given their knowledge of arterial anatomy, advanced microcatheter techniques, and expertise in embolization procedures, are the specialists best suited for the performance of PAE. Aquablation of the prostate for the treatment of lower urinary tract symptoms in men with benign prostatic hyperplasia. Latest pharmacotherapy options for benign prostatic hyperplasia. The pooled estimates of demographic and clinical baseline characteristics, peri-operative variables, complications, and post-operative effectiveness including IPSS, QOL, Qmax, and PVR were calculated. This forms a hollow hole in it in which hole is closed at one end. Going back to our discussion about DCF deformation, I wonder how using all or most of the perimeter stakes would subtly stretch the DCF along the hemlines over time? Marra G, Sturch P, Oderda M, et al. WebBelow are some advantages that come with using post tension slabs. A bent that is provided with any form of bracing is called braced bent. These researchers presented the protocol of a study comparing Aquablation with HoLEP in the treatment of BPH in medium-to-large-sized prostates. The rate of repeat TURP/PVP was higher in the PVP group (6.7 % versus 3.9 %, not significant) within the follow-up of up to 2 years. Dixon CM, Rijo Cedano E, Mynderse LA, Larson TR. Arbor: 5/8 in. 2002;5(3):183-188. Slab with arches or (Arch slab) are adopted at a place where there is a need for redirecting wind load and if there is a long curve in direction of slab these slabs are adopted. Tech Urol. Urology. Also, the use of tadalafil in combination with alpha blockers for the treatment of BPH is not recommended because the combination has not been adequately studied for the treatment of BPH, and there is a risk of lowering blood pressure. A total of 127 patients with BPH were randomized to either ThuLEP (n=61) or PKEP (n=66). Histotripsy has had a number of complications in animal models and despite technical improvement has not yet progressed beyond feasibility studies in humans. 2014;15(16):2319-2328. after about one year we see lot of cracks in all directions. Recent developments in the surgical management of benign prostatic hyperplasia. 1994;44(1):58-63. Plante MK, Bunnell ML, Trotter SJ, et al. McWilliams JP, Bilhim TA, Carnevale FC, et al. So-called contractor tablesaws are the oldest of the portable models, and contractor saws are also the heaviest. Herein we report 2-year safety and efficacy for this cohort. Prostatic artery embolization in treating benign prostatic hyperplasia: A systematic review. Kurbatov and associates (2014) examined the safety and benefits of PAE in patients with prostate volume greater than or equal to 80 cm(3) and Charlson co-morbidity index (CCI) greater than or equal to 2 and affected by BPO. padding-right: 18px; Oeconomou A, Madersbacher H. Botulinum neurotoxin A for benign prostatic hyperplasia. The International Prostate Symptom Score (IPSS) decreased from 21.6 at the baseline to 6.5 at the 12-month follow-up, a 15.3-point improvement (p < 0.0001). 2002;74(3):111-112. When people talk about stakes requirements they can be concerned about a lot of different things. The low roof slab is constructed during the construction of the lintel beam. In concrete structures, this is achieved by placing high-tensile steel tendons/cables in the element before casting. J Urol. Chin et al (2012) evaluated the effectiveness of the prostatic urethral lift in relieving LUTS secondary to BPH. Our premium articles include in depth journalism and insights from the Backpacking Light editorial team. Thermacol is the best insulator of sunlight. Wire brushes are used for this purpose. The authors concluded that although they are at different points of maturation, KTP or LBO laser vaporization and HoLEP are promising alternatives to both TURP and OP; KTP laser vaporization needs further evaluation to define the re-operation rate. San Francisco, CA: CTAF; February 13, 2002. The draped tendon has the profile of curve between the supports joints predominately.The post tensioning steel will have the (v) It has quick construction-cycle. London, UK: BMJ Publishg Group; May 2004. New Join us in discussing the new Apple Watch Ultra & iPhone 14 Satellite Features for Backpacking. Pretensioned slabs are similar to post-tensioned slabs except for the prestressing part. } The risk of patients needing a secondary BPH medication or surgical intervention, up to 5 years due to lower urinary tract symptoms was 51 percent less in the Aquablation arm compared to the TURP arm. Bracing helps to resist wind and seismic force in a more excellent way. Patelli G, Ranieri A, Paganelli A, Mauri G, Pacella CM. When compared to TURP, PAE was associated with a significantly lower IPSS reduction 1 and 3 months after the procedure. These investigators discussed the techniques currently being used to complete this procedure, the outcomes and safety, and finally, the long-term data as well as the AEs associated with Aquablation. 2002;89(6):534-537. Parallel-group RCTs of acupuncture for men with symptomatic BPH were included. Single-group analysis for the placebo effect and meta-regression analysis for the moderator effect were performed with high-quality RCTs compared with placebo. i) The thickness of the slab can be reduced. I have a son who established a presence on the Internet, about 30 or so years ago. Wilt T, Ishani A, Mac Donald R.Serenoa repens for benign prostatic hyperplasia. The area covered by the fly of the X-Mid Pro 2 is 55.5 sq ft (5.1 sq m), compared to the, X-Mid Pro 2: 80 x 100 inches (203 x 254 cm), our community discussed the X-Mid Pro 2 with designer Dan Durston on. 2005;15(1):55-58. It has a restricted span length of 40 feet when reinforced. Waterjet ablation therapy for endoscopic resection of prostate tissue trial (WATER) vs WATER II: Comparing Aquablation therapy for benign prostatic hyperplasia in 30-80 and 80-150 mL prostates. WebPre-tensioned slab, 13. Changes in the prostatic urethra shape were noted with an increase in urethral width during the dwell period with minimal tissue changes. Int J Urol. Konety BR, Phelan MW, O'Donnell WF, et al. Culkin DJ, Anderson BW. Blood-based microRNAs as diagnostic biomarkers to discriminate localized prostate cancer from benign prostatic hyperplasia and allow cancer-risk stratification. 2021;206(4):818-826. Given the heterogeneity in the available literature and safety concerns regarding radiation exposure, postembolization syndrome, vascular access, technical feasibility, and adverse events, the 2019 American Urological Association (AUA) BPH clinical guidelines state that currently PAE should only be performed in the context of an experimental clinical trial". 2003;169(1):210-215. CADTH Rapid Response Report: Summary with Critical Appraisal. Treatment of LUTS secondary to BPH while preserving sexual function: Randomized controlled study of prostatic urethral lift. Interested to write an article for Civilread? National Institute for Clinical Excellence (NICE). Finally, although 1 study utilized a sham control, most control patients elected to cross-over to WVTT at 3 months due to insufficient symptom relief. UL Listed. Madersbacher S, Susani M, Marberger M. Thermal ablation of BPH with transrectal high-intensity focused ultrasound. Industry Standard tool-free split guard design allows a true rise-and fall riving knife by using a lever on the inside the throat plate. Available evidence suggests that bi-polar TURP is an attractive alternative to mono-polar TURP as both techniques lead to a long-lasting and comparable efficacy. Meta-analysis of prostatic artery embolization for benign prostatic hyperplasia. Electronic searches of 13 databases to identify relevant RCTs were carried out. Loads are directly transferred to columns. A superlight tent marketed as being not cramped, delicate and/or lacking weather protection while offering unprecedented stormworthyness is vying for consideration as an all-purpose shelter just as much and probably more than an unoriginal rectangular mid from LG. Bagla S, Martin CP, van Breda A, et al. Oeconomouand Madersbacher (2010)summarized the mechanisms through which BoNT-A could inhibit the progression of BPH and eliminate the lower urinary tract symptoms (LUTS) according to the findings of animal studies. Cross-bracing or X-bracing utilizes two diagonal components intersecting each other and are required to resist tension only. While BoNT has shown promising preliminary results for male lower urinary tract symptoms, and translational research suggests novel mechanism of action of BoNT in the prostate, it is important to remember that the application of BoNT in the prostate is not approved by the regulatory agencies and caution should be applied until larger randomized clinical trials are completed. In the comparison papers with the TURP, the Aquablation has been statistically not inferior regarding functional outcomes. The cores can function as service ducts and significantly reduce the self-weight of the slabs, maximizing structural efficiency. Aquablation may be used to treat LUTS/BPH in patients with a prostate volume between 30 and 80 g. The presence of a large middle lobe and the requirement for general anesthesia are limitations to the technology in some trials". The UroLift system (NeoTract Inc., Pleasanton, CA) permanent implant is such a modality; it is delivered under cystoscopic visualization. Chemo-ablation of the prostate with dehydrated alcohol for the treatment of prostatic obstruction. BMJ Open. Most AEs were not serious and transient; dysuria, urinary retention, and urinary tract infection (UTI) were most common. The bracing system significantly influences the restriction to the relative floor-to-floor lateral displacement. Zhuo J, Wei HB, Zhang F, et al. Pre-stressing may be either by pre-tensioning or post-tensioning; the latter is preferred for highway pavements. Prefabricated slab,15. Gilling P, Barber N, Bidair M, et al. The ES for miR-221 was measured by the SMD obtained by dividing the difference in the average gene expression between the PCa and BPH groups by a pooled estimate of SD. Fowler et al (2005) compared the clinical and cost-effectiveness of TUVP with TURP. The integration of software programming and semi-automatic technology increases the reproducibility of the procedure and aids in standardizing overall outcomes, while also accelerating the learning curve. 2011;107(7):1030-1043. Russo et al (2014) stated that BPH is a very common condition in men over 50 years, often resulting in LUTS. TURP was associated with significantly more improvement in maximum urinary flow rate (Qmax) (mean difference = 5.02 mL/s; 95 % confidence interval [CI]: 2.66 to 7.38; p < 0.0001; I2 = 89 %), prostate volume (mean difference = 15.59 ml; 95 % CI: 7.93 to 23.25; p < 0.00001; I2 = 88 %), and prostate-specific antigen (PSA) (mean difference = 1.02 ng/ml; 95 % CI: 0.14 to 1.89]; p = 0.02; I2 = 71 %) compared to PAE. Benign prostatic hyperplasia: US-guided transrectal urethral enlargement with radiofrequency--initial results in a canine model. Talja M, Tammela T, Petas A, et al. They stated that scfDNA is a promising biomarker with several applications in PCa diagnosis, screening programs and therapeutic monitoring. The medium- (1 to 3 years) and long-term (greater than 3 to 6.5 years) clinical success rates were 81.9 % and 76.3 %, with no UI or sexual dysfunction reported. Djavan B, Ghawidel K, Basharkhah A, et al. Bijan O. Aalami, Unbonded and Bonded Post-Tensioning Systems in Building Construction, A Design and Performance Review, Post-Tensioning Institute, Phoenix, The authors stated that until the exact etiology of BPH/BPE/BPO is known, it is unlikely the cure for this disorder will be found. UL Listed. WebJim Rogers, editor and publisher of Post Tension Magazine, says that until housing construction ground to a halt last year, about half of all post-tensioning work was slabs-on-ground for homes. 17. Unless long-term use reveals as-of-yet unknown deficiencies it seems that this tent might be my go-to shelter for some time to come. The currently available pharmacotherapies are alpha-blockers and 5-alpha reductase inhibitors, which may be effective but can have adverse effects and long-term compliance problems. The primary safety end-point was serious complications through 90 days post-procedure. Magistro G, Westhofen T, Stief C, Gratzke C. Novel minimally invasive treatment options for male lower urinary tract symptoms. The authors concluded that some of the new techniques and technologies available for BPH have been shown to be relatively safe and effective and await validation with phase III clinical trials. A median lobe was present in 25 patients (53 %) and 8 patients had catheter-dependent urinary retention. Thank you. Fixing now. In this kind, the thickness of the slab is small whereas the depth of the beam is large and load is transferred to beams and then to columns. This ECRI assessment states that Additional independent RCTs would be useful to confirm comparative-effectiveness findings as well as compare AquaBeam with other BPH treatments. This study also helped to define the profile of candidates for PAE and analyzed the benefits and complications associated with this new technique. Convective radiofrequency water vapor thermal therapy for benign prostatic hyperplasia: A single office experience. Purpose, Importance, Advantages, Disadvantages. The minimally invasive nature of the technique inducing a significant improvement in symptom severity associated with prostate volume reduction and a slight improvement in the sexual function are major advantages. Patelli and colleagues (2017) assessed the feasibility and safety of transperineal laser ablation (TPLA) for treating benign prostatic hyperplasia (BPH). Microwave thermotherapy for benign prostatic hyperplasia. Al-Kafaji G, Said HM, Alam MA, Al Naieb ZT. Brachytherapy. Rieken M, Bachmann A, Shariat SF. Blade Tilt: 45 Left.. However, as with other surgical therapies for BPH, up to 15 % of patients fail to show improvement significantly after PAE, and there is a modest improvement of the peak urinary flow. Convective radiofrequency water vapour thermal therapy for lower urinary tract symptoms in men with benign prostatic hyperplasia. i) The reduced depth of the slabs between the grids increase the risk of fire transmission. Outcome parameters were evaluated at baseline; 1, 3, and 6 months; every 6 months between 1 and 3 years; and yearly thereafter up to 6.5 years. Rates of incontinence were similar across all interventions other than TUNA and laser coagulation, for which lower rates were reported. PAEs were performed bilaterally in 85 % of patients, unilaterally in 12 %, and unsuccessfully in 3 %; IPSS decreased from 24.51 6.12 at baseline to 10.42 5.39 at 6 months; QOL score decreased from 4.76 0.98 at baseline to 2.51 1.13 at 6 months; Qmax increased from 8.41 ml/s 2.63 at baseline to 15.44 ml/s 5.64 at 6 months; PVR measurement decreased from 105.94 ml 76.77 at baseline to 39.57 ml 15 at 6 months; PSA level decreased from 4.79 ng/ml 5.42 at baseline to 3.16 ng/ml 1.5 at 6 months. The IPSS, IPSS-QOL, BPH impact index (BPHII), and Qmax were calculated as the weighted mean difference relative to baseline and reported in minimal clinically important difference (MCID) units. Men greater than or equal to 50 years with prostates 30 to 80 cc, IPSSgreater than 12, and Qmax less than or equal to 12ml/s were randomized 2:1 between PUL and sham. Devonec M, Dahlstrand C. Temporary urethral stenting after high-energy transurethral microwave thermotherapy of the prostate. In soils where staking is more difficult than in my yard, it would likely be a bit more challenging and perhaps require longer guylines or other adjustments to the pitch. In: EBM Guidelines. 2015;33(4):509-515. Transurethral needle ablation of the prostate: A minimally invasive treatment for symptomatic benign prostatic hyperplasia. Students' t-test or Wilcoxon tests were used for continuous variables and Fisher's test for binary variables. Transurethral radiofrequency needle ablation of the prostate. Chughtai and colleagues (2021) examined the safety, feasibility, and tissue response of a novel device for the treatment of LUTS secondary to BPH, using the 1st-generation XFLO Expander System (Mercury Expander System). The hollow grid system reduces the self-weight of the slab without compromising its structural stability. ECRIs Clinical Evidence Assessment on AquaBeam Robotic System for treating benign prostatic hyperplasia (2021) noted that the evidence is somewhat favorable. Nevertheless, as noted by Zumstein et al (2018) outcomes have been shown to remain stable or even improve slightly between 3- and 12-month post-procedure in both PAE and TURP groups. Eur Urol Focus. Some (but not all) of the links in this article may be affiliate links. Improvement in peak urinary flow rate was 125 percent and 85 percent compared to baseline for Aquablation and TURP respectively. 2017;197(6):1565-1572. The cores also have a benefit in sustainability terms in reducing the volume of concrete used. Subsequently, a large, multi-center international prospective randomized blinded clinical trial (WATER) was conducted to examine the efficacy of Aquablation versus TURP. These researchers compared the medium-term follow-up parameters specific for the 2 methods. The Student's t-test, 1-way analysis of variance (ANOVA) and Kruskal-Wallis tests were used for statistical analyses. Only 1 study had ejaculatory dysfunction as a primary outcome, and just 10 evaluated ejaculatory dysfunction before and after surgery. The implant was deployed and retrieved using flexible cystoscope in 8 adult male canines, separated into 3 study arms by retrieval date (1-, 6-, and 12- months post-deployment). The primary safety end-point was the development of Clavien-Dindo persistent grade 1, or 2 or higher operative complications. After removing duplicates, screening and reviewing full-length texts, a total of 5 records remained, with 2 RCTs and 3 non-RCTs. Due to the light weight, they can span to long distances with ease. Disadvantages of Draped Tendon. Efficacy and safety of Rezm system water vapor treatment for lower urinary tract symptoms secondary to benign prostatic hyperplasia. In a prospective, single-center, single-arm study, de Assis and colleagues (2015) reported the safety and efficacy of PAE with spherical microparticles to treat LUTS associated with BPH in patients with PV greater than 90 g. This trial was conducted in 35 patients with PV ranging from 90 to 252 g. Mean patient age was 64.8 years (range of 53 to 77); MRI, uroflowmetry, and the IPSS were used to assess clinical and functional outcomes.
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